The lateral parapatellar approach provides a good view of the articular surface of the distal femur. With a longitudinal division of the quadriceps tendon and extensor mechanism, the patella can be dislocated medially.
The lateral approach to the distal femur allows for visualization, reduction and fixation of simple articular fractures of the distal femur.
The arthroscopic approach is only recommended in minimally, or nondisplaced, fractures in young patients. Advanced experience in arthroscopic surgery is essential.
Inserting percutaneous instrumentation through safe zones reduces the risk of damage to neurovascular structures.